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Leveraging Metabolomics to Assess the Next Generation of Temozolomide-based Therapeutic Approaches for Glioblastomas

查看全文 作  者:Patrick-Denis St-[1]Coeur;Mohamed [1]Touaibia;Miroslava Cuperlovic-[2]Culf;Pier Jr [1]Morin 高影响力作者 机构地区:[1]Department of Chemistry and Biochemistry, Universite' de Moncton,Moncton, NBE1A3E9, Canada;[2]National Research Council of Canada,Moncton, NBE1A7R1, Canada高影响力机构 出  处:《Genomics, Proteomics & Bioinformatics》索引2013年第11卷第4期,共8页高影响力期刊 基  金:the Beatrice Hunter Cancer Research Institute;the Brain Tumour Foundation of Canada 摘  要:Glioblastoma multiforme(GBM) is the most common adult primary tumor of the central nervous system.The current standard of care for glioblastoma patients involves a combination of surgery,radiotherapy and chemotherapy with the alkylating agent temozolomide.Several mechanisms underlying the inherent and acquired temozolomide resistance have been identifed and contribute to treatment failure.Early identifcation of temozolomide-resistant GBM patients and improvement of the therapeutic strategies available to treat this malignancy are of uttermost importance.This review initially looks at the molecular pathways underlying GBM formation and development with a particular emphasis placed on recent therapeutic advances made in the feld.Our focus will next be directed toward the molecular mechanisms modulating temozolomide resistance in GBM patients and the strategies envisioned to circumvent this resistance.Finally,we highlight the diagnostic and prognostic value of metabolomics in cancers and assess its potential usefulness in improving the current standard of care for GBM patients. 关 键 词:神经胶质瘤 替莫唑胺 代谢组学 治疗 评估 分子机制 恶性肿瘤 神经系统
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